JOSEPH S KUBIAK, JR MD
NPI 1639270598
Internal Medicine - Pulmonary Disease in Greenville, SC
Quality Rating: 93.99 out of 100 score
NPI Status: Active since September 25, 2006
Contact Information
3 SAINT FRANCIS DR
SUITE 300
GREENVILLE, SC
ZIP 29601
Phone: (864) 255-8063
- Individual
- Male
- Internal Medicine
- Pulmonary Disease
- Accepts Insurance
- Medicare Quality Reporting
About JOSEPH KUBIAK, JR
This page provides the complete NPI Profile along with additional information for Joseph Kubiak, Jr, an internist established in Greenville, South Carolina with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1639270598 assigned on September 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 15360 (SC). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1639270598
- Provider Name
- JOSEPH S KUBIAK, JR MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601
- Location Phone
- (864) 255-8063
- Mailing Address
- 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601
- Mailing Phone
- (864) 255-8063
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 11-10-2009
- Code Navigator
An internist like Joseph Kubiak, Jr is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 15360
- License State
- SC
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
8157 | MEDICARE ID-TYPE UNSPECIFIED (04) | SC | MEDICARE |
E55824 | MEDICARE UPIN (02) | SC |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 45-59 minutes
Sleep study in sleep lab (6 years or older)
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Sleep study including heart rate, breathing, airflow, and effort
Telephone medical discussion with physician, 11-20 minutes
Test to determine lung volumes using sensors
Test to examine how well the lungs exchange gases
Test to measure expiratory airflow and volume
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 59 times for 32 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 72 times for 70 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 232 times for 209 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 237 times for 118 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 76 times for 45 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 59 times for 57 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 91 times for 91 patientsA sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
This service was performed 78 times for 78 patientsA sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
This service was performed 45 times for 43 patientsA sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
This service was performed 97 times for 97 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 11 times for 11 patientsThis test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
This service was performed 12 times for 12 patientsThis is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
This service was performed 13 times for 13 patientsThis test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
This service was performed 25 times for 25 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.99, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 93.99 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 88.64
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 98.91
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Colorectal Cancer Screening | 44% | 180 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 28% | 259 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 10% | 246 |
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
Screening for Osteoporosis for Women Aged 65-85 Years of Age | 65% | 104 |
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 2% | 114 |
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months |
Reviews for JOSEPH S KUBIAK, JR MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 2 | 7 | 0 | 5 | 9 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 4 | 7 | 0 | 5 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 4 + 7 + 0 + 5 + 1 + 8 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1639270598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1427040005 | SANDRA W LOWE MS RN NP CS Individual | Nurse Practitioner | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1447358478 | CHARLES V MULLEN JR. MD Individual | Internal Medicine (Critical Care Medicine) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1083715940 | AHMAD BOOTA MD Individual | Internal Medicine (Critical Care Medicine) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1891896676 | JUDY A WESTER APN Individual | Nurse Practitioner (Family) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1598866220 | LORI L WEINSTEIN APN Individual | Nurse Practitioner (Acute Care) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1134220932 | LUCRETIA P MYERS NP Individual | Nurse Practitioner (Acute Care) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1346330578 | ST. FRANCIS PHYSICIAN SERVICES Organization | Surgery | 3 SAINT FRANCIS DR SUITE 480 GREENVILLE, SC 29601 (864) 269-0959 |
1407927155 | MAE DE ETTE BURTON F.N.P. Individual | Nurse Practitioner | 3 SAINT FRANCIS DR SUITE 400 GREENVILLE, SC 29601 (864) 235-8396 |
1972663441 | ST. FRANCIS PHYSICIAN SERVICES Organization | Internal Medicine (Sleep Medicine) | 3 SAINT FRANCIS DR SUITE 340 GREENVILLE, SC 29601 (864) 233-8063 |
1003963141 | KATARINA HARRIS M.D. Individual | Internal Medicine (Pulmonary Disease) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1104917160 | K BENJAMIN RISINGER M.D. Individual | Surgery | 3 SAINT FRANCIS DR SUITE 440 GREENVILLE, SC 29601 (864) 255-1405 |
1962440149 | EZZAT EL-BAYOUMI MD Individual | Internal Medicine (Pulmonary Disease) | 3 SAINT FRANCIS DR SUITE 300 GREENVILLE, SC 29601 (864) 233-8063 |
1295159705 | PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC Organization | Pain Medicine (Interventional Pain Medicine) | 3 SAINT FRANCIS DR SUITE 480 GREENVILLE, SC 29601 (864) 269-4416 |
1639150766 | JAMES ROGERS YOUNG II M.D. Individual | Surgery | 3 SAINT FRANCIS DR SUITE 360 GREENVILLE, SC 29601 (864) 233-4349 |
1255422168 | THOMAS C MANN JR. M.D. Individual | Surgery | 3 SAINT FRANCIS DR SUITE 360 GREENVILLE, SC 29601 (864) 233-4349 |
1235250960 | DR. JOSEPH RONALD MILLICAN MD Individual | Surgery | 3 SAINT FRANCIS DR STE 360 GREENVILLE, SC 29601 (864) 233-4349 |
1245452366 | DR. BING YI M.D. Individual | Surgery | 3 SAINT FRANCIS DR STE 360 GREENVILLE, SC 29601 (864) 233-4349 |
1386920593 | JOHN S. MINASI M.D. Individual | Surgery | 3 SAINT FRANCIS DR ST 360 GREENVILLE, SC 29601 (864) 233-4349 |
1770674400 | MICHAEL A TOWLER M.D. Individual | Surgery | 3 SAINT FRANCIS DR SUITE 490 GREENVILLE, SC 29601 (864) 233-4349 |
1275907602 | MRS. HILARY KEITHE JOSEPH NP-C Individual | Nurse Practitioner (Family) | 3 SAINT FRANCIS DR SUITE 360 GREENVILLE, SC 29601 (864) 233-4349 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639270598, enumerated in the NPI registry as an "individual" on September 25, 2006
The provider is located at 3 Saint Francis Dr Suite 300 Greenville, Sc 29601 and the phone number is (864) 255-8063
The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
The provider might be accepting Accepts: First Choice Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 45-59 minutes, Sleep study in sleep lab (6 years or older), Sleep study in sleep lab with continuous airway pressure (6 years or older), Sleep study including heart rate, breathing, airflow, and effort, Telephone medical discussion with physician, 11-20 minutes, Test to determine lung volumes using sensors, Test to examine how well the lungs exchange gases and Test to measure expiratory airflow and volume.
This NPI record was last updated on September 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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